Based on clinical record review, hospitalization record review, facility policy review, resident and staff interviews, the facility failed to safely discharge 1 of 3 residents (Resident #1) reviewed for discharge planning, by discharging the resident to a location that did not meet his health and safety needs. On 4/21/26, Resident #1 with a history of a traumatic brain injury and cognitive impairment was assisted by nursing staff to sign an Against Medical Advice form after the resident became upset when reminded of the facility smoking policy and stated he would just leave. Resident #1 signed the AMA form, took his belongings and left the facility via a cab. …
F627 citations in Iowa
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Iowa cites F627 less often than its own record predicts
0.81 times the national share — cited less often here than elsewhere.
Of every deficiency written in Iowa in 2025, this is the portion that was F627.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Iowa surveyors wrote
F627 findings written in Iowa, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on clinical record review, staff interviews and policy review the facility failed to provide sufficient notice of discharge for 1 of 3 residents (Resident #2) reviewed. The facility failed to ensure proper discharge planning was documented prior to discharge. The facility reported the census was 28. Findings include: Resident #2's Entrance Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was admitted from a short term general hospital.The Discharge Return Not Anticipated MDS assessment dated [DATE] revealed the discharge was unplanned and occurred on 4/29/26 to a short term general hospital. …
What else Iowa surveyors cite →
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